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You have a patient who comes in that is super talkative. At the end of it all, what
tools do you have to find out what the patient actually came in for?
Correct Answer:
Redirect and summarize
Blood in the eye. What are some questions you'd like to ask?
Correct Answer:
Recent trauma, double vision, OPQRST, nausea (Dx: subconjunctival
hemorrhage from retching)
What is a normal finding of visual changes as we age?
Correct Answer:
Presbyopia
What is dysphagia?
Correct Answer:
Trouble swallowing
If we are assessing anxiety and depression, what else do we check for?
Correct Answer:
a. Suicidal ideation
b. Thyroid dysfunction
,c. Substance abuse
d. Homicidal ideation
What is the order of exam for a new patient?
Correct Answer:
a. Introduction
b. Chief complaint
c. HPI
d. Dx/plan
e. Summarize
If I had a person ask me as I was palpating their lymph nodes, why their lymph
nodes get large, what would your answer be?
Correct Answer:
B Cell proliferation, which makes more cells, hence enlargement
Which lymph nodes sit just behind the sternocleidomastoid?
Correct Answer:
Posterior cervical chain
A patient comes in with really vague overall muscle complaints, fatigue with no
accident or mechanism of injury, what is something that is really important to
screen for?
Correct Answer:
Depression
If a patient has double vision with one eye covered? Which cranial nerve are you
concerned about?
Correct Answer:
Cranial Nerve III
A patient that comes in with elbow pain that is worse on the right and pain when
she extends her wrist, what would you suspect?
Correct Answer:
a. Medial epicondylitis (Golfer's elbow)
b. Tennis elbow presents with pain and tenderness experienced on the outside
,of the elbow, while golfer's elbow can be felt on the inside of your elbow and
down the arm.
Pt has a lump that requires an I&D and it has a very "cheesy" substance that
comes out. You will document that you just removed what?
Correct Answer:
A sebaceous cyst.
If a patient has a cup to disc ratio of 1:2, then what is happening?
Correct Answer:
Flatter disc, so less likely to be a glaucoma suspect
What is your #1 DDx if I say I have chest pain that is sharp, right over my sternum
Correct Answer:
Angina
What is the main cause of Angina?
Correct Answer:
Atherosclerosis
If you have a patient with sudden, non-painful loss of vision, what would you
suspect?
Correct Answer:
Retinal detachment
If you have a patient with painful loss of vision in one eye, what would you
suspect
Correct Answer:
optic Neuritis
The tender point between the two tendons at the base of the thumb (the snuff
box area), we relate that to what type of fracture?
Correct Answer:
Scaphoid fracture
What are the landmarks for PMI (point of maximal impulse)?
, Correct Answer:
a. the bony point of your sternum
b. the 5th intercostal spaces
c. the midclavicular line (7-9 cm lateral to the sternum)
a patient has pain while chewing, but only on one side of the face. What are
some DDx?
Correct Answer:
TMJ
A young girl comes in experiencing sudden hair loss, what are some DDx
Correct Answer:
a. Alopecia
b. Hypothyroid
Overwhelming sadness for several months, with lots of bouts of crying, loss of
interest...what do you suspect?
Correct Answer:
Major Depressive Disorder
A patient with a history of cirrhosis with tenderness in the epigastric area and
blood on his rectal exam, black stools; we would suspect what?
Correct Answer:
Esophageal varices
When I'm doing an eye exam on a patient and I've got blurred disc margins, what
are some DDx?
Correct Answer:
a. MS
b. Meningitis
Patient has a uvula deviation; you would suspect a lesion on which cranial nerve
Correct Answer:
a. Cranial nerve 10
A patient has a small pea size mass under the skin that is easily moveable; what
do you think it is?